Individual
BIANCA JANAE COLEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4411 N HABANA AVE, TAMPA, FL 33614-7211
(813) 872-2771
Mailing address
4411 N HABANA AVE, TAMPA, FL 33614-7211
(813) 872-2771
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA28803
FL
Other
Enumeration date
05/07/2019
Last updated
05/07/2019
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